Fermentative Oxidase Positive GNR Case Study Questions 1. Andy is a 6 year old boy that was rushed into the ER on Friday night. Mom states they had gone out for lunch earlier in the day and celebrated his birthday with a special lunch at a local seafood restaurant. Since then he has become extremely ill, symptoms include: nausea, vomiting, and abdominal cramps. He has also developed diarrhea but at this point it looks more like rice water than stool.What is your initial diagnosis? What is the causative agent? What is a big worry that could develop if the boy is not treated immediately including with clear fluids? 2. Patricia is a 46 year old woman who has come to her family care physician c/o abdominal pain especially in her upper abdomen, indigestion, bloating,and nausea. You suspect a duodenal ulcer, what could be the causative agent? Which test should you order for your patient to confirm this diagnosis? 3. Bryan had been celebrating his big 50^th birthday at his favorite restaurant, Babe's chicken.But has since developed symptoms of abdominal pain/cramps, nausea vomiting, and diarrhea. What is your initial diagnosis? You send some stool off for microbiology studies and the initial gram-stain reveals a sea-gull winged GNR on the routine stool culture. Which organism do you suspect now.and what additional testing should be added to confirm this diagnosis?